PMS LABORATORY FORM 
SI-MNH-284G 
6-23-G7 
^ '-nXj c_f\£X_ Co 
Species Co _iVV_yY\ 
CO 
C 
Number 
Dates: processed collected 3 : ^ (jfHf* 
Locality _ _C Yr kL 3 
Sex — if ((dissection \ plumage soft parts 
* ' 
/V j '' 
* * 1 > 
Age __. 
O 
skull plumage soft parts 
Fat Molt-.-,.-.. 
Disposition: ( skin skelton alcoholic discard), Preparator: 
Weight 
Ectoparasite Exam: Visual Other 
Ectoparasites 
<k-%3. - 0_1 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single Pool Lid 
Plasma Analysis Tests: Vi HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
